Qualify more home health care leads before the first call
A basic contact form gives you a name, an email, and silence. Cliont greets every visitor with your video, walks them through their visit, collects documents, and hands you a scored, qualified lead.
A custom intake for every home health care visit
Each one is a ready-to-embed smart survey tuned to the visit — open any to try the exact experience your leads would complete.

Medication Support
In-home assistance helping older adults manage, organize, and take prescribed medications safely and on schedule.
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Occupational Therapy at Home
In-home occupational therapy sessions that help older adults regain daily living skills, safety, and independence after illness, injury, or decline.
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Physical Therapy at Home
In-home physical therapy sessions that help older adults improve mobility, strength, and balance after injury, surgery, or illness.
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Wound Care
In-home nursing support for assessing, cleaning, dressing, and monitoring wounds to promote healing and prevent complications for a senior.
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Post-Hospital Care
Short-term home support helping a person recover safely after a hospital stay, including daily assistance and recovery monitoring.
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Skilled Nursing
In-home nursing care provided by licensed professionals for medical needs such as wound care, medication management, and monitoring chronic conditions.
Preview intake →Information you need before every home health care visit
- Help With Medications Needed
- Many Different Medications Person
- Licensed Nurse Required Administer
- Soon Medication Support Needed
- Person Who Can Authorize
- Person Receive Care
- Main Reason Occupational Therapy
- Doctor Or Hospital Recommended
- Daily Activities Most Difficult
- Person Needing Therapy Live
How home health care lead scoring works
Value signals
- Reminders to take medication on time
- Organizing pills into a schedule or dispenser
- Hands-on administration of medication
- Tracking refills and communicating with pharmacy
- Licensed Nurse Required Administer: yes
- Person Who Can Authorize: yes
Urgency signals
- Immediately
Your visitor has a real visit. A contact form can’t hear it.
Patients and caregivers arrive ready to explain the visit. Give them a conversation instead of a dead form — and get exactly what you need to win it.
Three empty fields and silence
- No visit details or scope
- No documents or context
- No way to tell a real lead from a tire-kicker
- You chase; most never reply
A guided conversation that converts
- Full visit scope in their own words
- Relevant photos and documents attached
- Every lead scored by value
- High-intent leads flagged for you
From first click to qualified lead
Follow patients and caregivers through one smooth, guided flow.
They land & meet you
Your video greeting plays instantly — a real face instead of a blank form.
They explain the visit
Smart questions adapt to their visit and capture the full scope.
They share details
Symptoms, history, and documents come attached before the visit.
You get a ready lead
Scored and qualified — waiting for you to win it.
From template to routed lead
Cliont handles website intake and qualification; your existing business system remains the source of record after handoff.
Choose the right intake
Start with the industry, service, and visit template that matches the work you want to qualify.
Configure the experience
Add your video greeting, keep the questions you need, and choose which answers affect fit, urgency, and value.
Connect it to your site
Embed the guided intake on the relevant service page and test the complete phone, tablet, and desktop experience.
Route the qualified lead
Send the score, answers, and uploads into your chosen notification, CRM, or calendar workflow for staff follow-up.
Home Health Care lead-intake FAQs
What does a home health care intake collect?
Each home health care template asks job-specific questions drawn from the selected service, then captures contact details and relevant documents. The resulting submission gives the team more context than a name-and-email contact form.
How are home health care leads scored?
Cliont weights answers that indicate scope, urgency, fit, and potential value. It sends the score with the visitor's answers so the team can prioritize stronger home health care opportunities without manually reviewing every raw submission first.
Can visitors try a home health care intake on a phone?
Yes. The guided intake is designed for mobile, tablet, and desktop browsers. Visitors can answer questions and attach the requested files from the device they already have with them.
Where can qualified home health care leads be sent?
Cliont can route qualified leads to email, SMS, Slack, common CRM and calendar tools, Zapier, webhooks, or an API workflow. Cliont handles lead intake and qualification; the connected practice or business system remains the source of record after handoff.
Simple, transparent pricing
Choose the plan that works for your business.
Professional
Unlimited intake forms and leads for your growing business.
- Unlimited intake forms
- Custom video greetings
- AI-powered voice bot
- English + Spanish support
- Automatic lead scoring
- Digital estimates & e-signatures
- Photo, video & file upload
- Advanced analytics dashboard
Pay Per Lead
Only pay when you receive a qualified lead.
- Unlimited intake forms
- Custom video greetings
- AI-powered voice bot
- English + Spanish support
- Automatic lead scoring
- Digital estimates & e-signatures
- Photo, video & file upload
- Charged only for submitted leads
Browse every senior care intake template
While they’re still using contact forms, you’re booking patients
Give every website visitor a guided, bilingual, qualifying intake — and turn your home health care traffic into signed work.